Perhaps nothing impacts the health of women more than the changes in their hormone levels. From puberty to menopause, their health is influenced by hormones. In menopausal woman entire tissues of the body are affected due to deficient sex hormone levels. One such tissue is periodontal ligament tissue. Estrogen hormone exerts anti resorptive, antibacterial and anti inflammatory action on periodontium. Hence estrogen deficiency produces adverse effects on periodontal tissue. But these effects are uniquely different if post menopausal woman is obese. Obesity which is otherwise known as a risk factor can act as a modifier for post menopausal women by secreting additional estrogen hormone through adipose tissues.